| Theresa A. Gates, Ph.d., P.c. | |
|
8075 E Morgan Trl Suite 1-b Scottsdale AZ 85258-1293 | |
| (480) 451-1684 | |
| (480) 451-1684 |
| Full Name | Theresa A. Gates, Ph.d., P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 8075 E Morgan Trl, Scottsdale, Arizona |
| Authorized Official Name and Position | Theresa Ann Gates (PRESIDENT) |
| Authorized Official Contact | 4804511684 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa A. Gates, Ph.d., P.c. 8075 E Morgan Trl Suite 1-b Scottsdale AZ 85258-1293 Ph: (480) 451-1684 | Theresa A. Gates, Ph.d., P.c. 8075 E Morgan Trl Suite 1-b Scottsdale AZ 85258-1293 Ph: (480) 451-1684 |
| NPI Number | 1346413051 |
|---|---|
| Provider Enumeration Date | 04/02/2008 |
| Last Update Date | 04/02/2008 |
| Medicare PECOS PAC ID | 0840221255 |
|---|---|
| Medicare Enrollment ID | O20050825000600 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346413051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 3397 (Arizona) | Primary |
| Provider Name | Theresa A Gates |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447307715 PECOS PAC ID: 6002847415 Enrollment ID: I20060411000228 |
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